| 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 |