| NPI | 1235478603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY HEYSEK CFO 407-566-9899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL ME51222) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2022-12-23 |