| NPI | 1962535666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW TODD NEWBERG Physician 407-679-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME93532) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2010-02-02 |