| NPI | 1902105877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE PIERRE President 407-936-4635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL HCC9039) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2011-03-18 |