| NPI | 1881751964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUANA ELIZABETH GONZALEZ Medical Practice Administrator 407-343-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME96322) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2016-05-05 |