NPI | 1922280619 |
---|---|
Entity Type | Organization |
Authorized Contact | RICARDO A SERRANO Owner & Md 321-453-2267 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: FL 0069902) |
Enumeration Date | 2007-12-04 |
Last Update Date | 2023-11-27 |