| NPI | 1104203892 |
|---|---|
| Doing Business As | COMMUNITY MEDICAL |
| Entity Type | Organization |
| Authorized Contact | ROBERTA REXROTH President 352-293-2833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-01 |