NPI | 1912394305 |
---|---|
Entity Type | Organization |
Authorized Contact | JUVERIA TAWWAB M.D. 407-833-0610 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL ME119485) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME119485) |
Enumeration Date | 2015-04-23 |
Last Update Date | 2016-03-23 |