NPI | 1912047390 |
---|---|
Entity Type | Organization |
Authorized Contact | LEYBERTH MARIO ROSENDO President 407-889-8008 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME72708) |
Enumeration Date | 2007-02-07 |
Last Update Date | 2020-08-22 |