| NPI | 1295902377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE FAUNDA Physician Credentialing 352-728-6808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 207R00000X Internal Medicine | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 207RN0300X Internal Medicine, Nephrology | |
| 208600000X Surgery | |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |