| NPI | 1992111488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY CALDWELL President/CEO 407-416-3653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2014-09-17 |