| NPI | 1679828552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA ALTON SUMMERS President 352-634-2207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME91020) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-30 |