| NPI | 1821480351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN F RODNEY Authorized Official 407-704-8724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ACN 278) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2025-10-31 |