| NPI | 1083427132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL SAAD ELIAS-AUSI Owner And Manager 407-515-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-07-05 |