| NPI | 1437829140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS L DE ORDUNA Doctor 407-747-0337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2022-01-19 |