| NPI | 1962809145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY E. CREECH Proprietor 352-516-8931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 363L00000X) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-03 |