| NPI | 1255668620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE L SMITH CEO/Cmo 407-322-8645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2010-09-02 |