| NPI | 1972936375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME F RUBIO Doctor 941-735-8315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2022-07-21 |