| NPI | 1437553625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE HOUSTON Manager Of Managed Care 407-366-9720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS52695) |
| Enumeration Date | 2014-10-16 |
| Last Update Date | 2021-07-02 |