| NPI | 1316127988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE Y KIM President 352-867-9877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS7448) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: FL OS7448) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: FL OS7448) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: FL OS7448) | |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2007-11-12 |