| NPI | 1750621538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASVENDAR SINGH NANDRA Owner 407-921-2074 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME85696) |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2013-02-15 |