| NPI | 1013328434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XUAN-TIEU NGUYEN Office Manager 407-299-3166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME29863) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |