| NPI | 1558315234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON KAY ARTHUR Owner 407-352-8553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME0050669) |
| Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2021-11-30 |