| NPI | 1912322934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRIOT JEAN-BAPTISTE Medical Director 352-687-8099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0069694) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: FL me 69694) |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-04-15 |