| NPI | 1497059737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIBEL MONTOYA Medical Director 352-409-7103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME84429) |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2014-08-11 |