| NPI | 1104098565 |
|---|---|
| Doing Business As | SORENTO MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | GEORGE R IKELER Owner 352-735-4044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: FL ME12314) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-07-15 |