| NPI | 1881063543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN NIMBARGI Medical Director 407-782-3702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL PA9108843) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |