| NPI | 1801939277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINSTON EVALLE President 352-259-0364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME80483) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME80483) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2010-11-29 |