| NPI | 1477305498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY STREIFF Owner 352-806-5884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 251E00000X Home Health | |
| 251F00000X Home Infusion | |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2026-04-04 |