| NPI | 1265662126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN C MAJOR Cred Spec 352-634-8736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services |
| 261QU0200X Clinic/Center, Urgent Care | |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2023-04-06 |