| NPI | 1285245878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARIZA PARSONS LOPEZ Owner 352-559-4334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2023-03-17 |