| NPI | 1104520717 |
|---|---|
| Other Name | GAPS |
| Entity Type | Organization |
| Authorized Contact | DACELIN ST. MARTIN Provider 352-684-8736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-05-18 |