NPI | 1184110835 |
---|---|
Entity Type | Organization |
Authorized Contact | ISSA JASON ZEIDAN Owner 407-999-6086 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME121800) |
Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: FL ME121800) |
Enumeration Date | 2018-07-05 |
Last Update Date | 2019-08-12 |