| NPI | 1831395797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY G MIKELL Group Coordinator 407-855-2526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME38692) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |