| NPI | 1083872725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HORACIO GONZALEZ Owner 407-834-3730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME41239) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-09-11 |