| NPI | 1710674205 |
|---|---|
| Other Name | PEDIM OUTREACH INVERNESS |
| Entity Type | Organization |
| Authorized Contact | DACELIN ST MARTIN Owner 352-684-8736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2024-09-18 |