| NPI | 1851644090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUSTAVO BUSTAMANTE President 407-841-8925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 24981) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |