| NPI | 1891969549 |
|---|---|
| Doing Business As | DEKALB INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | VASANTHA L GONA Staff Physician 352-857-9150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-099204) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2012-01-25 |