| NPI | 1235142209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABINE IRENE MCREYNOLDS Owner 352-378-5852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME72454) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2008-01-02 |