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 Clinic/Center (Licence: FL ME21401) |
Enumeration Date | 2015-05-27 |
Last Update Date | 2015-05-27 |