| NPI | 1538419213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHE WALKER Office Manager 352-596-3367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-11 |