| NPI | 1336137280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STUBEE A VP 407-481-7156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 174400000X Specialist |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2019-10-04 |