| NPI | 1336686989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA WILLIAMS Pharmacist 352-629-8721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL PS54739) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |