| NPI | 1548773039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATERINA GOLDBERG-DUNNETT Owner 352-616-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |