| NPI | 1639432875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA FAY BALKCOM Office Assistant 352-265-0680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281P00000X Chronic Disease Hospital (Licence: FL TRN17429) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: FL TRN17429) |
| 286500000X Military Hospital (Licence: FL TRN17429) | |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2012-06-22 |