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 |