| NPI | 1184912123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOYLE CLAUDE PHILLIPS President 352-237-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME64161) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |