| NPI | 1821579046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON GUERRERO CUETO Menber 813-240-9556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME100467) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME100751) |
| 207R00000X Internal Medicine | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME100751) | |
| Enumeration Date | 2018-08-25 |
| Last Update Date | 2021-01-21 |