| NPI | 1063753804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIREN ROHIT PATEL CEO 352-216-7618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 314000000X Skilled Nursing Facility (Licence: NC 2011-01587) | |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2024-02-27 |