| NPI | 1295174191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIREZA AFSHARI Managing Member 407-951-7666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL L12000038623) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2013-06-24 |