NPI | 1033500616 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS L SWINSON Sole Member 352-840-0444 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2015-02-18 |
Last Update Date | 2015-02-18 |