| NPI | 1033499280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KELLY Owner/President 407-765-0732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL OS0005851) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-08-19 |