NPI | 1457755951 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW CLAY CEO 352-732-6599 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2014-10-14 |
Last Update Date | 2023-02-08 |