| NPI | 1659687507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GRADY ASHLEY Physician 352-331-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME0020234) |
| Enumeration Date | 2010-08-28 |
| Last Update Date | 2010-08-28 |