| NPI | 1659466365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ALEX MORGAN Physician Owner 407-886-9807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: FL ME24104) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2010-06-29 |