| NPI | 1942369277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN SKINNER Vice President Of Operations 407-362-9210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2018-11-06 |