| NPI | 1912980632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD J KIVETT Partner 407-275-9014 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2011-11-18 |