| NPI | 1619421542 |
|---|---|
| Former Legal Business Name | MID FLORIDA MEDICAL SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | SCOTT LEVINE Owner 407-363-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME55318) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |