| NPI | 1174712970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLESSILDA BOHOLST LIU Physician 352-419-8924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0072471) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2026-08-18 |