| NPI | 1932498730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON M WOMACK CEO 352-293-2810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: FL HCC9256) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2022-12-07 |