| NPI | 1871528562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR RENE BLECKER President 772-581-0016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME78368) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2017-03-15 |