| NPI | 1811219934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA KILLGORE TEAL Director 407-898-7798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: FL SW6468) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL SW6468) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-16 |