| NPI | 1619101532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC A SAMPSON Doctor 352-564-0460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: FL CH9594) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-05-14 |