| NPI | 1548400633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHAB EUNUS President 352-671-6741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| 207Q00000X Family Medicine | |
| 208D00000X General Practice | |
| 261QP2300X Clinic/Center, Primary Care (Licence: FL ME96086) | |
| 261QR1300X Clinic/Center, Rural Health (Licence: FL ME96086) | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2023-01-20 |