| 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 | 208600000X Surgery |
| 207RI0200X Internal Medicine, Infectious Disease | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-07-18 |