| NPI | 1114669975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUMBERTO LIRIANO Chief Medical Officer 407-848-9394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261Q00000X Clinic/Center | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2025-09-17 |