| NPI | 1174808521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOAKHNAUTH RAMKISHUN President 407-291-2620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME0067252) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2013-02-18 |