| NPI | 1831330547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA M. MELOCHE CEO 352-684-5611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9167432) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2011-03-02 |