| NPI | 1770973729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA KEENE-LUND Office Manager 352-750-4333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL 605594) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |