| NPI | 1912191479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA KINI-BOWEN Owner 407-375-5872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: FL AP2140) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |