| NPI | 1841474228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT SELLINGER President 352-205-8981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Additional Taxonomies | 2085R0001X |
| 208800000X Urology | |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2024-04-02 |