| NPI | 1790176857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCY LEE HOWARD Owner/ President 352-794-7391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME68113) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |