| NPI | 1801767785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIUVIT ALDAMA GAROFALO Owner/Authorized Official 407-663-1745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-09-15 |
| Last Update Date | 2025-09-15 |