| NPI | 1750835211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN F BRANDT CEO 352-514-6476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL L16000146361) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |