| NPI | 1982829099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANN CASTELLI COOK Owner, Physician 863-701-7188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS7901) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |