| NPI | 1972985489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE TRUSCHKA LARSEN Nurse Practitioner 352-572-8814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 282NR1301X General Acute Care Hospital, Rural |
| 302R00000X Health Maintenance Organization | |
| 310400000X Assisted Living Facility | |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2015-06-19 |