| NPI | 1255364857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FONG JAMES WONG President 352-351-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME76024) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2013-10-08 |