| NPI | 1922257096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIUSCA CHAVEZ Vice President 772-388-9066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 102747) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2009-06-22 |