| NPI | 1295938785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA NATASHA MCBRIDE Officemanager 352-529-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2010-11-18 |