| NPI | 1780074831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID C BLUMER Sole Proprietor 352-372-1878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL 30193) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-01-28 |