| NPI | 1043560832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WAYNE STEPHENSON President 352-812-0579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME106525) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-10-23 |