| NPI | 1841610912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH LEWIS Office Manager 407-877-6280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME36826) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |