| NPI | 1083717177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES NICHOLAS GEORGIADES Owner 352-307-1850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL k8649) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2010-02-24 |