| NPI | 1578228375 |
|---|---|
| Other Name | ATTN: JAMIE BUS ADAM SILVER |
| Entity Type | Organization |
| Authorized Contact | RAVEN MAYES Osteopathic Medicine Physician 352-792-8069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 174200000X |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 251S00000X | |
| 261QA0005X Clinic/Center, Ambulatory Family Planning Facility | |
| 261QE0002X Clinic/Center, Emergency Care | |
| 332100000X Department of Veterans Affairs (VA) Pharmacy | |
| 333600000X Pharmacy | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2021-11-05 |