| NPI | 1285961482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO A FERNANDEZ President 407-350-7955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ACN277) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL acn259) |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2011-05-05 |