| NPI | 1588979488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL DAVID SOVRAN Owner 407-847-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL 037109) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2010-08-16 |