| NPI | 1235161704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORGE M MATHEW Md 352-728-2532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME22451) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-08-22 |