| NPI | 1487107629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER STRONG Owner/Manager 352-250-7430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL pa9105782) |
| Enumeration Date | 2016-07-23 |
| Last Update Date | 2017-03-28 |