| NPI | 1932252202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA R ARAGON Physician President Of Corporation 863-763-6496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-08-31 |