NPI | 1477826782 |
---|---|
Entity Type | Organization |
Authorized Contact | BONNIE J. SORRENTINO Office Manager 352-622-7554 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ME44562) |
Enumeration Date | 2012-02-16 |
Last Update Date | 2012-02-16 |