| NPI | 1699241703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN J NAUGHTIN Medical Director 407-434-9212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2018-10-16 |