| NPI | 1831232669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN CLAUSSEN CEO 863-291-5110 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2024-05-01 |