| NPI | 1578168019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIJO JOSEPH PAREKATTIL Owner/President 407-547-1654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-02 |