| NPI | 1154550747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANBALAN Mbr 352-867-8805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME95964) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2011-07-07 |