| NPI | 1346454394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMRIT HANS Manager 407-702-3492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL HCC6482) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |