| NPI | 1205244522 |
|---|---|
| Doing Business As | RAE DANIEL |
| Entity Type | Organization |
| Authorized Contact | RAE DANIEL Owner 407-580-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2014-07-30 |