| NPI | 1922282953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN SLABY President 352-726-4499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: FL ME-0074114) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2010-01-05 |