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 |