| NPI | 1891051249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMAL A ABUSUWA President 407-542-7335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME87949) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME87949) |
| 261QU0200X Clinic/Center, Urgent Care (Licence: FL ME87949) | |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2018-08-25 |