| NPI | 1992888515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID QUANG BUI President 407-895-3407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME 60771) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2017-05-09 |