| NPI | 1679251011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI SAMUEL Director 407-757-4459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 251E00000X Home Health |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-07-06 |