| NPI | 1144249335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJEEDA SHUJAAT Billing Manager 407-877-8292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0040132) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2010-02-26 |