| NPI | 1285070193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERNANDO ALEXANDER CARDONA President 407-716-4592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME88235) |
| Enumeration Date | 2013-05-18 |
| Last Update Date | 2013-05-18 |