| NPI | 1841871803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA D PICHARDO Chief Operating Officer 407-460-1292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-04-20 |