NPI | 1053747188 |
---|---|
Entity Type | Organization |
Authorized Contact | BILAL KHODR Medical Director 352-213-1243 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME0072652) |
Enumeration Date | 2013-09-20 |
Last Update Date | 2013-09-20 |