| NPI | 1801351804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERI MCCUE President 863-446-1803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2022-03-08 |