NPI | 1043747967 |
---|---|
Doing Business As | ORANGE BLOSSOM PEDIATRICS |
Entity Type | Organization |
Authorized Contact | BAKARI F BURNS President / CEO 407-428-5751 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-05-23 |
Last Update Date | 2022-07-21 |