| NPI | 1962409136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMES BUCHANAN President 863-644-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 46086) |
| Enumeration Date | 2005-07-04 |
| Last Update Date | 2007-10-22 |