NPI | 1144627902 |
---|---|
Entity Type | Organization |
Authorized Contact | APRIL CHRISTINA HAUKOOS President 352-359-2757 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: FL ARNP3084852) |
Enumeration Date | 2014-11-21 |
Last Update Date | 2014-11-21 |