| NPI | 1649241704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE DUNN Chief Executive Officer 407-322-8645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2020-12-28 |