| NPI | 1194950949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CHRIS SACKELLARES Chief Medical Officer 352-375-5553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: FL ME0072689) |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2009-05-22 |