| NPI | 1528110772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BARR Executive Director 407-645-2577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 174H00000X Health Educator |
| 207Q00000X Family Medicine | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 208D00000X General Practice | |
| 251B00000X Case Management (Licence: FL N24735) | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2019-12-04 |