| NPI | 1720489768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER K BROOKS Managing Owner 352-333-5918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME48769) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2015-08-24 |