| NPI | 1306960976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MORRIS FEARING Owner 352-331-3736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME49830) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-08-29 |