| NPI | 1649228834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAROOQ LATEEF President 407-351-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME75932) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2024-05-16 |