| NPI | 1295119675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJITHA REDDY Owner/Medical Director 352-425-0501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |