| NPI | 1659571404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA ALEXIS Physician 407-321-8801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME94804) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2012-11-21 |