| NPI | 1881179828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYESHA AHMAR Owner 407-333-3360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2018-09-26 |