| NPI | 1912047390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEYBERTH MARIO ROSENDO President 407-889-8008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME72708) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |