| NPI | 1376972356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ROY DUENAS President & CEO 352-745-2910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL 0801AD651601) |
| Additional Taxonomies | 251S00000X (Licence: FL 0312AD651603) |
| 251S00000X (Licence: FL 0804AD651602) | |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2013-11-11 |