| NPI | 1760677702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS D HARRIS Medical Doctor 407-351-9696 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME0059581) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2016-08-31 |