| NPI | 1609064724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABU N AZIZULLAH Physician/Owner 352-391-5299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME86965) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2011-07-20 |