| NPI | 1447248414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A. GUARINO Administrator 352-597-3060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC5566) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2020-08-22 |