| NPI | 1013181650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE STAVES Office Manager 352-383-1245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: FL ME00064748) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |