NPI | 1083989438 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA LEE STRUVE-DOERFLEIN President 352-816-1800 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP663102) |
Enumeration Date | 2012-03-19 |
Last Update Date | 2020-11-11 |