| NPI | 1801408208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY JARRELL MCCRACKEN Owner 352-262-8439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2022-04-28 |