| NPI | 1326256470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL C TYRONE Co Owner 352-332-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME89702) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2013-11-04 |