| NPI | 1982613154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRIYA MAHARAJ Physician/President 407-898-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL os9299) |
| Enumeration Date | 2006-08-06 |
| Last Update Date | 2020-08-22 |