| NPI | 1386805737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN S KANE President 407-862-5707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL 0040909) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-07-10 |