| NPI | 1033487426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA ADADZEWA FYNN Owner 407-593-2910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME109189) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2020-07-28 |