| NPI | 1033574140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERMANO FALCAO Owner 407-278-2401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME125808) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2016-06-29 |