| NPI | 1023238284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL PHILIP MCBATH Owner Physician 352-567-6763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS6111) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL FC1011371) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2009-11-30 |