| NPI | 1376606533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROBERT WILSON Owner 352-683-8120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME0014846) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |