| NPI | 1891380416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI A MAZZUCO Billing Coordinator 352-398-5185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2021-03-05 |