| NPI | 1093141160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIEL L TORRES Owner/Physician 407-629-4325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL AP 3229) |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2013-09-20 |