| NPI | 1932406469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VASUDEVAN ANJORE KIDAMBI Doctor 352-732-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME0068971) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-02-18 |