| NPI | 1043745367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERRICA THORNTON WALKER CEO/Founder 863-607-6088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL MM11212) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |