| NPI | 1598580938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDO J GOTERA AVILA Owner 407-820-2693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207RI0200X Internal Medicine Infectious Disease | |
| 208600000X Surgery | |
| 208D00000X General Practice | |
| 208VP0000X Pain Medicine Pain Medicine | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 251E00000X Home Health | |
| 261QI0500X Clinic/Center Infusion Therapy | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QP2300X Clinic/Center Primary Care | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2024-11-21 |