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 |