| NPI | 1063479459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BRANDON RUDERMAN President 407-896-1726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL 1139) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2007-09-20 |