| NPI | 1083819882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PABLO BORREGO President 407-658-8401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL mm17957) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2020-08-22 |