| NPI | 1245015759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMEKA CAMPBELL Owner 407-353-1336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2023-08-31 |