| NPI | 1679981724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUKHRA SAMAROO President 407-293-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL AL10088) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |