NPI | 1952479735 |
---|---|
Entity Type | Organization |
Authorized Contact | JUAN A ESCOBALES Doctor 727-321-9614 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME88883) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME27676) |
Enumeration Date | 2006-12-01 |
Last Update Date | 2009-12-03 |