| NPI | 1437486339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK HOADUC DANG Medical Director/ Manager 407-401-2690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL me98622) |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2011-07-26 |