| NPI | 1366866691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN THOMAS PYLES Owner/Physician 352-873-6808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL me40627) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |