| NPI | 1053755793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEREIDA INFANTE Gm 407-897-1135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC9454) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2013-04-24 |