| NPI | 1669228458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE GILLING Owner 352-328-8465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse |
| Additional Taxonomies | 251E00000X Home Health |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| 261Q00000X Clinic/Center | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QP0904X Clinic/Center, Public Health, Federal | |
| 261QP0905X Clinic/Center, Public Health, State or Local | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-04-24 |