| NPI | 1013628676 |
|---|---|
| Former Legal Business Name | FLORIDA PHS LLC |
| Entity Type | Organization |
| Authorized Contact | NICOLE HOWARD Sr VP Of Admin Services 337-991-9276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2025-09-18 |