| NPI | 1558557249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN ANDREW MORGAN President/Owner 352-732-9922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME50997) |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2012-10-19 |