| NPI | 1417786450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBREA S BOSTIC Manager 352-973-0693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 174H00000X Health Educator |
| 246RP1900X Technician, Pathology, Phlebotomy | |
| 251B00000X Case Management | |
| 261Q00000X Clinic/Center | |
| 291U00000X Clinical Medical Laboratory | |
| 293D00000X Physiological Laboratory | |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |