| NPI | 1992931034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA BOUSQUET GALBIS Billing/Contracting 863-686-0989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0062211) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2009-06-03 |