| NPI | 1932186137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A BOBEK Provider/Owner 407-657-9368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2008-05-20 |