| NPI | 1467921767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ANTHONY KNOLL CEO 407-454-1363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2022-01-26 |