| NPI | 1336453141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJYALAKSHMI KOLLI CEO 352-835-7155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME106816) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2012-11-13 |