| NPI | 1497321947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIKA CLAIRE CORNELIUS Owner, Medical Director, CEO 863-241-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2021-06-03 |