| NPI | 1013076298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA TYO-GROOTEN Credentialing Specialist 407-215-7794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2007-11-05 |