NPI | 1568073187 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH RESNICK CEO 352-518-2000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2020-08-17 |
Last Update Date | 2023-05-17 |