| 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 |