| NPI | 1932105558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN BRYAN Administrator 407-894-4474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL me0016884) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2009-12-14 |