| NPI | 1043501638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK M RAMHARRACK Owner 352-369-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME 70352) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2012-01-11 |