| NPI | 1508016387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI MAZZUCO Administrator 352-683-6831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care (Licence: FL 60080988) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2012-01-26 |