NPI | 1164597662 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL BOZETECH ROZBORIL President 352-374-9790 |
Organization Subpart ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL 0046253) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 833592) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2011-01-12 |