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 |