NPI | 1295488492 |
---|---|
Former Legal Business Name | FSF ORLANDO MSO, LLC |
Entity Type | Organization |
Authorized Contact | SHANA SIMPSON VP Of Operations 407-704-1150 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization |
Enumeration Date | 2022-01-28 |
Last Update Date | 2022-01-28 |