| NPI | 1659056117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN C MAJOR Cred Spec 352-634-8736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208D00000X General Practice | |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2024-02-01 |