| NPI | 1932554920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW ANTHONY THOMPSON Director 407-692-8737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME110269) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |