| NPI | 1497041610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARIKSITH SINGH Manager 352-799-0046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2011-06-27 |