| NPI | 1952581647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ELENA HERNANDEZ BORJAS President 352-242-4816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME85427) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2008-02-14 |