| NPI | 1366117079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE ALYCEE DUNN CEO 407-322-8645 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2021-08-13 |