| NPI | 1962925826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI MAZZUCO Facility Administrator 352-683-6831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care (Licence: FL 60081035) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2017-07-24 |