NPI | 1619911773 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILLIP BARKLEY Medical Director 352-392-1161 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: FL PA3027) |
Enumeration Date | 2006-06-16 |
Last Update Date | 2020-08-22 |