| NPI | 1891037495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY A PREVATT Division Manager 352-224-2370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9299250) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2013-03-21 |