| NPI | 1902214018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUKHRA SAMAROO President 407-293-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL AL10663) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-08-01 |