| NPI | 1659497386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIKESHA BLAKE CFO 407-629-7881 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2021-02-05 |