| NPI | 1952659252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN J MURPHY Executive Director 407-362-9210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: FL 100020550) |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2012-08-22 |