NPI | 1447586219 |
---|---|
Entity Type | Organization |
Authorized Contact | AKUA DWAMENAA WIREDU Medical Director 407-422-7707 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME99798) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH9600) |
207Q00000X Family Medicine (Licence: FL OS9203) | |
225700000X Massage Therapist (Licence: FL MA53165) | |
Enumeration Date | 2009-10-28 |
Last Update Date | 2009-10-28 |