| NPI | 1831375435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J GRISAITIS Owner 407-644-9030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME35814) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2010-08-13 |