| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1922395722 | RUSS | DOROTHY | MARQUITA YOLANDA | 8390 CHAMPIONS GATE BLVD STE 215 | CHAMPIONS GATE | FL | 338968310 | |
| 1790009223 | WALTON | ERICA | PATRICE | 8390 CHAMPIONS GATE BLVD STE 220 | CHAMPIONS GATE | FL | 338968312 |