NPI | 1356655989 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLE K EARLY Owner/Sole Proprietor 352-243-6900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2010-08-06 |
Last Update Date | 2010-08-06 |