| NPI | 1003816570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KENNETH SIMON Executive Director 352-394-1969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: FL HCC6449) |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2020-08-22 |