| NPI | 1245580109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W TYRONE President 352-332-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL 4901183) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2012-09-18 |