| NPI | 1952648974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL JEAN President/Owner 407-592-6073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME98157) |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2013-02-06 |