| NPI | 1174856272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA KLIMBERG Managing Member 352-425-8341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME39334) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME56657) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL OS1733) | |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2010-04-13 |