| NPI | 1124368675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MICHAEL HAMMESFAHR Physician 352-217-7425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME52212) |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2013-02-20 |