| NPI | 1295916476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH E STARK Physician 352-343-7735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME0045588) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-11-16 |