| NPI | 1639613714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GAMMON Medical Director 407-248-5094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZB0001X Pathology Blood Banking & Transfusion Medicine |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |