| NPI | 1922309582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA MARTINEZ Office Administrator 407-593-2814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME66079) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2011-08-18 |