NPI | 1417739517 |
---|---|
Entity Type | Organization |
Authorized Contact | ADALGIZA ELENA COSTA MORON Internal Medicine Director 407-967-1579 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2023-10-16 |
Last Update Date | 2024-06-10 |