| NPI | 1053036616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL POPE Manager Of Center Support 407-955-4248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 111NN0400X Chiropractor, Neurology | |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2022-10-06 |