| NPI | 1902936024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE ALFONSO QUIMBAYO President 813-915-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0063746) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-25 |