| NPI | 1598244055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERONIMO LOPEZ Owner 352-732-9844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME120658) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME120658) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2023-03-07 |