| NPI | 1669681904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRES BLANCO President 407-293-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC5917) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-09-05 |