| NPI | 1013425479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREL DOTAS Chief Operating Officer 352-215-1603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2024-04-01 |