| NPI | 1578790432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON KELLY Director, Physician Operations 407-296-1823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207T00000X Neurological Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208600000X Surgery | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2010-04-27 |