| NPI | 1457652968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHI-KWONG NG President 352-563-5767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME0068881) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2010-12-08 |