| NPI | 1134236219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELBA IRIS OVALLE Director 407-877-4075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME64514) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-08-22 |