| NPI | 1134278724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET BRENNAN President/CEO 407-905-8827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2018-02-05 |