| NPI | 1255630471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET EXUM Manager 352-753-4366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME36469) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2026-02-25 |