| NPI | 1134673130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA DELANEY Executive Director 407-964-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL MA61931) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |