| NPI | 1750699815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE L GRINER Director 863-292-4359 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |