| NPI | 1689963365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN E CHADWICK Owner 407-523-8215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL OT 11329) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-04-01 |