| NPI | 1497938344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIANA I SANTANA Billing Coordinator 407-944-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL HCC3657) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2011-03-08 |