| NPI | 1083022842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO TOBENAS Owner/President 407-774-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0065264) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL ME0065264) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |