| 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 |