| NPI | 1346435021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYLLE A HAYES Physician 352-333-5840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2022-12-08 |