| NPI | 1619132867 |
|---|---|
| Doing Business As | LAKE BALDWIN MEDICAL |
| Entity Type | Organization |
| Authorized Contact | S RAFIK BOUAZIZ Manager / Director 407-893-3905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2008-07-26 |
| Last Update Date | 2012-03-09 |