| NPI | 1619381803 |
|---|---|
| Other Name | FLORIDA POLY TECH |
| Entity Type | Organization |
| Authorized Contact | LANCE GREEN VP/CFO 863-687-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2020-07-20 |