| NPI | 1366678674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENCIO JORGE GONZALEZ Owner/President 407-447-1628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME0079378) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-02 |