| NPI | 1346687068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA J EMMONS Owner 352-732-5211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME114890) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |