| NPI | 1932497187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINO J SEDILLO Owner 941-747-8789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME76343) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2023-02-13 |