NPI | 1346804077 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI MAZZUCO Billing Specialist 352-683-6831 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care |
Enumeration Date | 2019-04-29 |
Last Update Date | 2019-04-29 |