| NPI | 1841481512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX L GONZALES Physician And Owner Of Practice 386-758-6143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME61910) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2014-08-25 |