| NPI | 1134370562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK S LUEDKE President 863-604-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health (Licence: FL OPC2762) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2014-09-25 |