| NPI | 1881219277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA TOYA DAWSON Billing Director 352-231-7551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-09-12 |