NPI | 1356069777 |
---|---|
Entity Type | Organization |
Authorized Contact | SRIRAM SUNDARAMOORTHY Chief Compliance Officer 352-622-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
208D00000X General Practice | |
261QH0100X Clinic/Center, Health Services | |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2022-08-22 |
Last Update Date | 2023-02-06 |