| NPI | 1184094690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CARLOS YORDAN Md 352-633-0473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME98478) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2018-03-17 |