| NPI | 1013212067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA FREEMAN M.D. 407-859-4540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9101207) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-01-24 |