| NPI | 1891958484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTIAGO MORALES President 727-791-7822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME64207) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2012-02-22 |