| NPI | 1386012359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE DUNN Chief Executive Officer 407-322-8645 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2020-12-28 |