| NPI | 1114220829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH N. DELUCA President 407-862-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2017-02-03 |