| NPI | 1609181528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J MACOOL Owner 407-774-7781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0030738) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2013-05-15 |