| NPI | 1861925570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN GONZALEZ Clinic Administrator 352-732-5590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP2590662) |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2021-06-29 |