| NPI | 1205001229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS R STEVENSON President/Physician 407-647-6886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL ME0050905) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |