| NPI | 1881928869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH RESNICK CEO 352-518-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2019-04-12 |