| NPI | 1770179590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEMEISHA T MORGAN Owner/Provider 352-227-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2020-12-16 |