| NPI | 1073874145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWEN D FRASER Physician/Owner 407-578-9142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME30256) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-10-24 |