| NPI | 1801487053 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SONIA N TORRES Clinical Operations Manager 407-505-6435  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services | 
| Enumeration Date | 2021-01-31 | 
| Last Update Date | 2021-11-16 |