| NPI | 1316964760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VITERBO A MARTINEZ President 352-237-8903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME75345) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2013-02-11 |