| NPI | 1447378054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA L BROUSSARD-PERRY President 407-876-1009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME68693) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2011-11-02 |