| NPI | 1982426771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAOMI MOSTKOFF Provider, Sole Proprietor 352-580-6573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2024-10-31 |