NPI | 1689165052 |
---|---|
Entity Type | Organization |
Authorized Contact | LAUREN COHN SVP Qi / CPO 352-374-5600 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL HCC) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL HCC) |
Enumeration Date | 2018-05-22 |
Last Update Date | 2018-06-06 |