NPI | 1336686989 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANA WILLIAMS Pharmacist 352-629-8721 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ps54739) |
Enumeration Date | 2017-01-20 |
Last Update Date | 2017-01-20 |