| NPI | 1235301847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH ANN HOOCK Practice Manager 352-686-3991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS5409) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-03-24 |