| NPI | 1902871825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS WAYNE DUNHAM Office Administrator 407-426-9693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2022-09-26 |