| NPI | 1669604005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL URBAN Owner 352-861-5634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME42058) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9184663) |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2010-05-12 |