| NPI | 1174989958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY DEAN SLADEK Owner 407-894-8696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL me33060) |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2016-01-08 |