| NPI | 1437910080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE ANDRESS Chief Executive Officer 772-925-8200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-03-18 |