| NPI | 1699940635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANXIAN HUANG Owner 352-242-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME83976) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2010-07-12 |