| NPI | 1043458243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MORRIS Health Services Administrator 352-754-6715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL ME31820) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2009-01-27 |