| NPI | 1942472949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAPHAEL LUIS LOPEZ Owner/President 321-939-4268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL me85048) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |