| NPI | 1346306636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WILLIAM MCDONALD Medical Director 407-846-2698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL me94029) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2010-10-22 |