| NPI | 1306911375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEE WAI ELSIE LO Physicians Asst 352-331-0811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9103775) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-08-22 |