| NPI | 1427394691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASRIN LAKHANI Secretory 407-217-6977 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305S00000X Point of Service (Licence: FL L11000125499) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |