| NPI | 1891565826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON M JOHNSON Owner 352-732-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-01-02 |