NPI | 1558718999 |
---|---|
Entity Type | Organization |
Authorized Contact | GUESLY J DELVA Owner 352-559-8849 |
Organization Subpart ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME120716) |
Enumeration Date | 2016-05-16 |
Last Update Date | 2025-09-10 |