| NPI | 1427204502 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | CONRADO ELYERAN TALAMPAS Owner 407-931-1998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME84870) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-10-30 |