| NPI | 1861660029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINAITHEERTHA P JEYABARATH Owner Provider 352-754-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2010-01-20 |