| NPI | 1164967154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMILTON R FISH Individual 352-728-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2016-12-29 |