| NPI | 1003890294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN ARSENIJEVITH Business Administrator 352-350-1556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2008-06-18 |