| NPI | 1528206638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA J. WYCKOFF Business Office Manager 352-375-1212 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2012-01-18 |