NPI | 1114669975 |
---|---|
Entity Type | Organization |
Authorized Contact | HUMBERTO LIRIANO Chief Medical Officer 407-848-9394 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2022-04-12 |
Last Update Date | 2023-02-28 |