| NPI | 1386715480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSAM ABUZARAD Owner 352-596-4657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2012-01-03 |