| Organization Name: | MASTERS MEDICAL CENTER INC |
| NPI Number: | 1023161221 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BARBARA ST CLAIR (PRACTICE ADMINISTRATOR) |
| Mailing Address: | 1320 N Semoran Blvd Suite 107 Orlando |
| State: | FL US |
| Postal Code: | 328073500 |
| Phone Number: | 4072073991 |
| Fax Number: | |
| NPI Enumeration Date: | 01/19/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |