| NPI | 1982743050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOMER KNIZLEY President 352-332-7990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME13674) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-10-09 |