| NPI | 1992162291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE ROTH COO 352-775-6348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2017-08-03 |