NPI | 1598163990 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTIAN ORAEDU Managing Member 352-690-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN-203) |
Enumeration Date | 2014-12-17 |
Last Update Date | 2015-01-19 |