| NPI | 1578309902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VOLHA IHNATSENKA Md 352-682-5306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| 208000000X Pediatrics | |
| 2083B0002X Preventive Medicine, Obesity Medicine | |
| Enumeration Date | 2024-07-04 |
| Last Update Date | 2024-07-04 |