| NPI | 1124043013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST CHUNG President 407-892-5856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME83366) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2010-11-30 |