| NPI | 1922541036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACIE LYNN NUSCA Nurse Practitioner 352-283-3717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: CA 95005171) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |