| NPI | 1447345574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL MARIE ARNOLD Executive Director 772-467-3057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL 1556AD805100) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |