| NPI | 1871500454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD AFZAL Doctor 352-394-3929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: FL ME72542) |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2015-10-26 |