| NPI | 1003485541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEE R MCNIFF CEO 352-514-3413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2021-06-19 |
| Last Update Date | 2021-06-19 |