| NPI | 1225318256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | F PATRICIA MCEACHRANE-GROSS CEO 352-857-7524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 110410) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: FL 110410) |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2022-07-21 |