| NPI | 1508272683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOTHAR MICHAEL GEBAUER Officer 407-496-9399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME98984) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |