| NPI | 1679022602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN CONNOR Practice Administrator 352-344-3777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS 8408) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-11-01 |