| NPI | 1104064245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDWIN BRUCE NELSON President 863-471-2320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME86834) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2010-10-06 |