| NPI | 1467619676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHAB EUNUS CEO/Medical Director 352-598-2479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 208000000X Pediatrics |
| 2080A0000X Pediatrics, Adolescent Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2023-01-20 |