NPI | 1407038300 |
---|---|
Entity Type | Organization |
Authorized Contact | MORGAN KANE President 407-694-2813 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL 3100-1038230) |
Enumeration Date | 2007-12-03 |
Last Update Date | 2007-12-03 |