| NPI | 1538300348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JOSEPH FEDERICO President/Owner 407-297-0087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME0047275) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2009-06-26 |