| NPI | 1619358231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA L MILLER Owner 407-366-3321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: FL 0056487) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-06-10 |