NPI | 1780836643 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM ADAMSON TRICE President 352-732-5211 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME0025927) |
Enumeration Date | 2008-10-22 |
Last Update Date | 2008-12-31 |