| NPI | 1417132465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUILLERMO B AVECILLA President 352-259-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME80865) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2010-08-23 |