| NPI | 1932327616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNAID KHAN CEO 407-770-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL HCC4418) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2008-01-16 |