| NPI | 1750499943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN J WOODARD Owner Operator 352-259-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 53291) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2011-01-27 |