| 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 |