| NPI | 1649882945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH RESNICK CEO 352-518-2000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |