| NPI | 1225000318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MAFFETT Health Data Analyst 352-518-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2019-10-09 |