| NPI | 1265608012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE MACDOUGALL CFO 863-297-1899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-07-11 |