| NPI | 1487193579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE DUNNINGTON Practice Manager 407-678-5554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 0S7764) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2020-02-11 |