| NPI | 1982860482 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | THUONG HOAL TRINH Physician/Owner 407-992-9229 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL OS10261) | 
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL OS 10261) | 
| Enumeration Date | 2008-08-04 | 
| Last Update Date | 2010-12-08 |