| NPI | 1043708332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL GLENTON Office Manager 772-794-2227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL OS14074) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |