| NPI | 1336519966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA NICOLE NIEVES President 407-922-5870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL OPC5087) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-24 |