| NPI | 1922041193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH AZIEGBEMI OIBO Medical Director 352-622-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 70676) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-08-22 |