NPI | 1619986403 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW P CASTNER Owner President 352-636-2286 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 0S6305) |
Enumeration Date | 2006-08-07 |
Last Update Date | 2008-01-29 |