| NPI | 1598309916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ROMSKA Administrative Assistant 352-259-2159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2024-04-03 |