| NPI | 1194018770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MAHLA Associate Dean Of Gm 352-273-8909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-05-16 |