| NPI | 1235239625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ARTHUR DERRENBACKER CEO 352-563-2407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL OS 0006090) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |