| NPI | 1427629476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE LASHENA COBB-LUCIEN CEO/President 407-259-4307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2024-02-06 |