| NPI | 1316691579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDELINE DARDIGNAC CEO 352-234-8612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-06-07 |