| NPI | 1679879282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DREW KYCYNKA Mgrm 352-799-7753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL CH6488) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |