| NPI | 1497255814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANNE ASHMORE HESS Office Manager 352-651-5127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL OS-0004310) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: FL OS4310) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-06-21 |