| NPI | 1083045918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDE DANOIS President 352-314-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME106117) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2019-04-02 |