NPI | 1477868586 |
---|---|
Entity Type | Organization |
Authorized Contact | ELMER E ALEGRE Manager/Owner/Manging Member 352-445-9257 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 9380) |
Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine (Licence: NV 9379) |
Enumeration Date | 2010-08-12 |
Last Update Date | 2010-08-12 |