| NPI | 1740952365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE GREEN EVP/CFO 863-687-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| 207R00000X Internal Medicine | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 208D00000X General Practice | |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2023-01-04 |