| NPI | 1861669889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUSTINE O LIU-YOUNG Managing Member 352-417-0238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME100412) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2022-07-21 |