| NPI | 1407100951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE Y MENDEZ President 407-738-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL ME107982) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2020-07-30 |