| NPI | 1114530664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN A CHABAN Owner 407-463-5848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2023-02-26 |