| 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 |