| NPI | 1821656703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA RODRIGUEZ DAVILA President 407-414-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2022-03-02 |