| 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 |