| NPI | 1821436486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET BARSTOW Practice Administrator 352-861-4633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL 0070292) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2013-06-05 |