| NPI | 1740364009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET BRENNAN President/CEO 407-905-8827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2018-02-05 |