| NPI | 1932401387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA MARLENE HARE President 352-620-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL OS 5740) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |