| NPI | 1679154561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC MILBRANDT Owner 352-325-5755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-04-21 |