| NPI | 1730707415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARAIVYS GONZALEZ PEREZ Owner 407-480-1635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |