NPI | 1982855359 |
---|---|
Entity Type | Organization |
Authorized Contact | DAISY MARTINEZ Owner/President 239-772-1194 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2008-10-03 |
Last Update Date | 2024-07-29 |