| NPI | 1952556821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL CARRILLO CEO 352-391-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME87534) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2012-08-29 |