| NPI | 1801012901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SCOTT LINCOLN President 407-253-4041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: FL CH 6992) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-05-15 |