| NPI | 1124216734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA L POSEY Office/Billing Manager 352-732-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL ME0045390) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-11 |