| NPI | 1336920966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAKARI F BURNS CEO 407-428-5751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2023-10-10 |