| NPI | 1467817403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON L. TORRES CEO 352-291-0019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |