| 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 |