| NPI | 1225069917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARA DAVIS HITCHCOCK Owner/Doctor 407-578-3303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME79029) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2018-04-27 |