| NPI | 1679503809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD RODERICK BOBE President/Owner 863-471-2623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME95575) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2008-03-24 |