| NPI | 1790457836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA N TORRES Clinical Operations Manager 407-860-0283 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2023-09-28 |