| NPI | 1528608155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IHAB HERRAKA President / Physician 352-871-0992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2020-01-11 |
| Last Update Date | 2020-01-11 |