| NPI | 1124012422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SMITH COO 863-467-7084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0071118) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME0077602) |
| 207R00000X Internal Medicine (Licence: FL ME0071683) | |
| 208800000X Urology (Licence: FL ME0080601) | |
| 208600000X Surgery (Licence: FL ME0021272) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME0069465) | |
| 208000000X Pediatrics (Licence: FL ME0060312) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: FL ME0060313) | |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME0021723) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME0057971) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME0066502) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0043238) | |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2020-08-22 |