| NPI | 1609268150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO ORTIZ Medical Director / Owner 407-203-5984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2025-02-27 |