| NPI | 1760056337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA PICHARDO COO 407-460-1292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2021-05-18 |