| NPI | 1376161380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY JOHN ARDILA Owner/Pa 407-739-2395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |