| NPI | 1972065001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVEN SHENETTE MAYES Healthcare Manager 352-792-8069 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2019-04-06 |
| Last Update Date | 2021-04-16 |