| NPI | 1285663484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVA D. WIDDIS Associate Executive Director 352-867-8311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2007-11-30 |