| NPI | 1497063614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK G. MILEY Owner 352-629-4448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME13722) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |