| NPI | 1194042556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L. A. OLIVERIO President/Secretary And Director 352-489-2401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME47193) |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2010-04-26 |