| NPI | 1245454586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ONA MARIE COLASANTE Medical Doctor 352-481-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL ME0063062) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-19 |