NPI | 1306468947 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN MICHELE DOTSON Owner/Provider 407-489-6938 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty |
Additional Taxonomies | 261QR0200X Clinic/Center Radiology |
261QU0200X Clinic/Center Urgent Care | |
Enumeration Date | 2020-05-16 |
Last Update Date | 2025-07-21 |