| NPI | 1568632396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON E STEWART Director Of Operations 863-244-9585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL me19425) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: FL me19425) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-11-20 |