| NPI | 1275702037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE N NALKER Contracting/Credentialing 863-293-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0068923) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2015-02-17 |