| NPI | 1902668809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERLINE DORT BROWN Practitioner 407-319-5378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 208D00000X General Practice |
| 261QC1500X Clinic/Center, Community Health | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-02-26 |