| NPI | 1154484533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN WUNDERLICH President 352-596-7255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: FL ME61722) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2010-06-15 |