| NPI | 1295828887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE RAMON FERNANDEZ Medical Doctor / Owner 407-935-9012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-09-12 |