| NPI | 1427380823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE A HOLLAND Bookkeeper 352-362-4223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME38632) |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2022-05-11 |