| NPI | 1275856064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA NASSER Administrator 352-624-7384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME83972) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME85309) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2011-12-16 |