| NPI | 1992272116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNE MARIE EDWARDS Credentialing Manager 407-905-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2019-05-02 |