NPI | 1497764237 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW P CASTNER Owner President 352-636-2286 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS6305) |
Enumeration Date | 2006-08-07 |
Last Update Date | 2007-11-08 |