| NPI | 1447290952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISE ELDRIDGE Office Manager 352-796-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2008-06-03 |