| NPI | 1245289206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFAN MANN President 352-234-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL OS0007386) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2025-05-01 |