| NPI | 1598016362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE LEW Treasurer/CFO 352-728-6808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME108692) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME 108692) |
| 207RN0300X Internal Medicine, Nephrology (Licence: FL ME 108692) | |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2013-04-01 |