| NPI | 1609208370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY TADOM Presiden 407-898-1135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME78176) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |