NPI | 1295239051 |
---|---|
Entity Type | Organization |
Authorized Contact | LOU HAROLD President 407-839-3700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME047257) |
Enumeration Date | 2018-03-19 |
Last Update Date | 2020-03-23 |