| NPI | 1508053091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS CARMEN CIFUENTES Vice President 352-596-9095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2010-07-20 |