| NPI | 1437330875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL RAMIREZ Medical Director 407-854-0771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: FL CH0005339) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-14 |