| NPI | 1659562957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILDRED A. JIMENEZ Owner 407-299-6160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME70004) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |