NPI | 1205128642 |
---|---|
Entity Type | Organization |
Authorized Contact | JAIME DANIELS CEO 407-846-8180 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME36463) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2011-05-04 |
Last Update Date | 2018-06-20 |