| NPI | 1275844680 |
|---|---|
| Doing Business As | FLORIDA MENTOR |
| Entity Type | Organization |
| Authorized Contact | JON FISHER State Director 941-955-2593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL ISW5663) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-06-30 |