| NPI | 1093747560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURDES M MATHEW Md 352-728-2532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME80262) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME24875) |
| 174400000X Specialist (Licence: FL ME81152) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-08-22 |