| NPI | 1740653526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARAGARITA LABARTA CEO 352-374-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL HCC10982) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL HCC10982) |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2018-05-21 |