| NPI | 1609316975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDI LYNN LARIMER Owner/Manager 352-672-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME0054910) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2022-07-21 |