| NPI | 1578320198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN CARLOS JOSE CRUZ-GONZALEZ CEO 407-401-8094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care |
| 111N00000X Chiropractor | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2025-06-16 |