| NPI | 1235155300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI R ESAREY President 352-636-9880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL arnp2619882) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |