| NPI | 1467893362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE REINALDO HEREDIA Owner 407-240-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL CH7044) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2013-07-09 |