| NPI | 1144713645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRAIN YVETTE LEE Owner 407-299-3166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2021-08-19 |