| NPI | 1255007100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE ANDRESS Chief Executive Officer 772-925-8200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2023-05-25 |