| NPI | 1104364397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAZMIN MAGNOLIA MORA Licensed Counselor 863-279-9742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: FL 101YM080) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |