| NPI | 1780709998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INNOCENT ODOCHA President 352-371-3212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME86683) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2009-05-14 |