| NPI | 1972767333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LEE MORRIS Comp And Pen Examiner 352-338-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL 1187232) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-07-15 |