| 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 |