| NPI | 1417087313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA RONALD FOX President 352-732-6766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME 12278) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2010-06-08 |