| NPI | 1629800693 |
|---|---|
| Former Legal Business Name | FLORIDA HEALTH CARE CLINIC, LLC |
| Entity Type | Organization |
| Authorized Contact | DINORA SHERVINGTON CEO 786-945-0628 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-08-17 |
| Last Update Date | 2024-08-17 |