| NPI | 1316196744 |
|---|---|
| Former Legal Business Name | OSTEOPATHIC HERITAGE CORP |
| Entity Type | Organization |
| Authorized Contact | JEFFREY S. GROVE Owner/President 352-666-6950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS6098) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2018-03-09 |