| NPI | 1891047635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN NICHOLSON Office Manager 407-894-2048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local (Licence: FL dn10824) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2012-10-03 |