| NPI | 1780804047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGH V NGUYEN Owner 352-383-3826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME96531) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME96531) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2020-08-22 |