| NPI | 1093505158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JHONNY MONTOYA Fnp 407-686-9611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2025-05-10 |
| Last Update Date | 2025-05-10 |