| NPI | 1205583432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE NICOLE PERRY Phleboto MIS T 352-575-8568 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 246RP1900X Technician, Pathology Phlebotomy |
| 291U00000X Clinical Medical Laboratory | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2022-05-20 |