| NPI | 1417262239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE S APONTE-RODRIGUEZ Primary Clinician 407-301-4997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |