| NPI | 1649059932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD A MASTAW CEO 352-415-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2023-09-26 |