| NPI | 1104063114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER LONG President, CEO 352-323-4271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME102387) |
| 208600000X Surgery (Licence: FL ME101492) | |
| 208600000X Surgery (Licence: FL ME062340) | |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2024-02-22 |