| NPI | 1215394846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MAS Owner/Therapist 407-850-2116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL 5303) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: FL 5303) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |