| NPI | 1568630606 |
|---|---|
| Doing Business As | COUNTRYSIDE HOUSE CALLS |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS P. NAGLE Vice President 352-854-4985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2009-02-17 |