| NPI | 1235075862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDER JOHNSEN Chief Executive Officer 352-266-1241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2026-04-27 |
| Last Update Date | 2026-05-15 |