| NPI | 1215115910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOREEN A. COTTER Manager 352-328-1529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: FL L07000118073) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-04-08 |