| NPI | 1881874840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ANTHONY JOHN Case Manager 863-385-5179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: FL 171M00000X) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-07 |