| NPI | 1922370451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED WAYNE FRANKENBERG Owner/Dr 352-544-0610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME86861) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2012-09-24 |