| NPI | 1689418832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA R ESCALANTE Owner 352-318-5487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2024-06-22 |
| Last Update Date | 2024-07-01 |