| NPI | 1831122019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILENE WILKINS CEO President 407-852-3303 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: FL BUS0022327-001) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2023-10-12 |