NPI | 1699180240 |
---|---|
Entity Type | Organization |
Authorized Contact | JOY L HALL Owner 352-897-0063 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease |
208600000X Surgery | |
Enumeration Date | 2014-06-23 |
Last Update Date | 2014-07-18 |