| NPI | 1053621227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL A BURGOS President 407-282-5809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME65264) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |