| NPI | 1144523531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THANG C PHAM President 407-482-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: FL ME87463) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2022-10-31 |