| NPI | 1013044726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMI KOLAVENTY Office Manager 352-237-4116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2009-05-19 |