| NPI | 1417119223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN R VARRAUX Physician/President 407-841-0084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME0031947) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |