| NPI | 1376618512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS R. BELCUORE Director 352-334-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL AN581582) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2008-06-18 |