| 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 |