| NPI | 1588317309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DISTEFANO Consultant 352-317-3214 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-02-01 |