| NPI | 1285519991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EEMAN TARIQ Owner 407-403-3706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2025-08-11 |