| NPI | 1245289578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELINA CEDENO Manager 407-481-7174 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| 208600000X Surgery | |
| 208800000X Urology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-07-02 |