| NPI | 1629415328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL CHRISTINA HAUKOOS President 352-359-2757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ARNP3084852) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |