| NPI | 1497930713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERAFIN MANUEL MENECIA President 407-692-8859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL HCC6368) |
| Enumeration Date | 2008-01-05 |
| Last Update Date | 2008-01-05 |