| NPI | 1033438759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRATIQULLAH HESSAMI President 352-223-5244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL P02000071278) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |