| 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 |