| NPI | 1487056404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILANIA ALESSIA SMITH PT Ds 352-708-6591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME98015) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2016-01-20 |