| NPI | 1952415770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY ZASIMOVITCH Office Manager 352-596-3032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME87617) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |