| NPI | 1225902075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTLE MARTIN Owner 407-712-3391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2025-10-03 |
| Last Update Date | 2025-11-14 |