| NPI | 1053584144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY LYNN SCHWEITZ FLYNN Pres 863-398-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2010-04-30 |