| NPI | 1164564134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON CHANZA President 407-935-0566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL HCC6893) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL HCC6893) |
| 363AM0700X Physician Assistant Medical (Licence: FL HCC6893) | |
| 363L00000X Nurse Practitioner (Licence: FL HCC6893) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |