| NPI | 1700839453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN L JOY President 863-293-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2013-09-18 |