| NPI | 1255675369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M. ARMSTRONG Owner/President 352-338-0164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL MH 2118) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |