| NPI | 1407011745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUMBERTO GUTIERREZ Presidet 407-914-4452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL 5761) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |