| NPI | 1508118001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THAKOOR DEEN Medical Doctor 407-352-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0034039) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |