| NPI | 1851608053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA J BECK Office Manager 352-787-4235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0063570) |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-10-14 |