| NPI | 1306119508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | USHA JAIN Director 407-876-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME34630) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 261QU0200X Clinic/Center, Urgent Care (Licence: FL 34630) | |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2012-04-24 |