| NPI | 1083813752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CARLOS MORALES President 407-346-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL OS4187) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2012-08-30 |