| NPI | 1730378241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS GEORGE GAY President / CEO 407-451-1849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL PA9102434) |
| Enumeration Date | 2007-10-21 |
| Last Update Date | 2008-07-24 |