| NPI | 1285789511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY EDMOND Owner 352-666-0790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME81127) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-10-31 |