| NPI | 1679965487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBI HAGEMEYER Office Manager 407-682-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: FL me44676) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-03-03 |