| NPI | 1376046839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE OVALLES Owner 407-483-7610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 207Q00000X Family Medicine | |
| 261Q00000X Clinic/Center | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2023-04-04 |