| NPI | 1134426844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD WILLIAM TAYLOR Director Of Operations 407-739-6914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS9605) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2011-02-15 |