| NPI | 1386476836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ECKSTEIN Owner 407-377-5484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2025-01-29 |