| 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 |