| NPI | 1225145717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA J WYCKOFF Business Office Manager 352-375-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2009-10-12 |