| NPI | 1417129602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL VEGA Administrator 407-293-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: FL ME81662) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2020-08-05 |