| NPI | 1194544585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKILAH LAWAUN BELLINGER Clinical Director 407-562-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2025-01-31 |