| NPI | 1407302441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE FISHER Owner 352-381-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: FL 7700) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-10-10 |