| NPI | 1629338512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVINDRA KOLAVENTY President 352-342-9876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-05-24 |