| NPI | 1528233178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN ONYELO OKONKWO Medical Doctor 352-867-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME83433) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |