| NPI | 1780779967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ANTHONY VIDAL President 352-629-8138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0035667) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-03-26 |