| NPI | 1932332624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHADRESH K PATEL Physican 352-746-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME69230) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME100419) |
| 363A00000X Physician Assistant (Licence: FL PA9102858) | |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2010-03-30 |