NPI | 1205711785 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENT CARTER Ambr 352-651-2283 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 213E00000X Podiatrist |
Enumeration Date | 2025-08-06 |
Last Update Date | 2025-08-06 |