NPI | 1639188329 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA GLICK Office Manager 352-753-5222 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0051531) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2020-08-22 |