| NPI | 1306377643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH RESNICK CEO 352-518-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |