| NPI | 1144416165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD WILLIAM BEINHAUER Managing Member 352-666-8089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME99940) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2011-08-12 |