| NPI | 1700831161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF SETTEMBRINO Chairman 863-646-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME0072440) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2016-05-04 |