| NPI | 1477746139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID H TREVETT Owner 407-947-0013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |