| NPI | 1033387865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEDRICK JOHNSON Group VP Operations 407-333-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2014-05-28 |