| NPI | 1003042136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON A TOPES President 352-216-4859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2009-06-03 |