| NPI | 1366802977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS DELRIO Owner 407-931-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 225100000X Physical Therapist |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |