| NPI | 1558718999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUESLY J DELVA President 352-559-8849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: FL ME120716) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-09-21 |