| NPI | 1598795221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS CHANG Owner 352-343-0053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME71903) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME71903) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2008-06-24 |