| NPI | 1538636378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY COLE CEO 407-252-7206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 171100000X Acupuncturist |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2021-08-10 |