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 |