| NPI | 1659616068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANJEEV SALWAN CEO 352-682-2195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL Me93246) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: FL Me93246) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |