| NPI | 1255710992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIETA CAIBIRAN TANEDO- SANTOS Owner 407-846-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME21401) |
| Additional Taxonomies | 261Q00000X (Licence: FL ME21401) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2015-05-27 |