| NPI | 1427161256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE D. DILONE Office Manager 407-770-0039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL P04000140182) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2016-06-15 |