| NPI | 1861881997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMULO A BERNAL Owner / Physician 239-549-1633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME33340) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |