| NPI | 1023155454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE DUNN Chief Executive Officer 407-322-8645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: FL PH07042) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2025-04-24 |