| NPI | 1841508348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILDA RODRIGUEZ Office Manager 407-645-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME77089) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2010-11-18 |