| NPI | 1598843914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVIEVE DAVIS Office Manager 352-365-6650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME64096) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2023-11-08 |