NPI | 1033710579 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH L SAVAGE Owner 352-436-4328 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
Enumeration Date | 2020-11-02 |
Last Update Date | 2020-11-02 |