| NPI | 1376949032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS A ORTIZ Medical Director 407-512-6608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL acn412) |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2014-11-07 |