| NPI | 1861883712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL A PARDO Owner 239-728-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-02-13 |