| NPI | 1033500103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD SHOKOOHI Owner 407-657-7799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME33049) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |