| NPI | 1144683889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEELY SAUER Manager 407-240-5554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL 0055614) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |