| NPI | 1700287570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE M GO Owner 407-270-6612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME79752) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-10-29 |