| NPI | 1366605727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA RENEE ATKINS Owner 407-345-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL CH8398) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2023-01-23 |