| NPI | 1427326909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD VANDERKUIJL President 407-601-7840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2012-06-27 |