| NPI | 1225154289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER A ANKOH President 352-728-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME92546) |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care (Licence: FL ME 92546) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2014-09-11 |