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 |