| NPI | 1497152946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MLADEN KOLOVRAT CEO 407-797-3252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL PA 9105596) |
| Enumeration Date | 2014-11-28 |
| Last Update Date | 2014-12-09 |