| NPI | 1881947323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA MARIE MARTINEZ Office Administrator 407-593-2814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME66079) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |