| NPI | 1194228668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARDO MENA Manager 407-915-2718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-12 |