| NPI | 1366298549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC J NIEVES Owner/Mngr 407-459-0785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YP1600X Counselor Pastoral |
| 174200000X Meals | |
| 251E00000X Home Health | |
| 261QA1903X Clinic/Center Ambulatory Surgical | |
| 261QC1800X Clinic/Center Corporate Health | |
| 261QE0002X Clinic/Center Emergency Care | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 291U00000X Clinical Medical Laboratory | |
| 310400000X Assisted Living Facility | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 335G00000X Medical Foods Supplier | |
| 342000000X | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2024-04-27 |
| Last Update Date | 2024-04-27 |