| NPI | 1710288766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM SCHUKNECHT CEO 352-518-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2011-08-30 |