| NPI | 1376799593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ELENA DUMALAOG-WATSON Manager 407-716-5521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME77853) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-08-08 |