| NPI | 1346655040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER MITTA Inte RN Al Medicine 352-873-0501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME95726) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-09-12 |