| NPI | 1861677247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE ACEVEDO Office Manager 352-795-9697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-07-09 |