| NPI | 1497135958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADHUSUDHAN T DOMMETI Owner 407-215-6370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: FL ME79298) |
| Enumeration Date | 2015-05-31 |
| Last Update Date | 2015-05-31 |