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 |