| 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 |