| NPI | 1861990954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETTIA CADET CHERENFANT Owner 407-704-8766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: FL 9237369) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |