| NPI | 1992022164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN P HAYES CFO 352-597-8960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2022-08-12 |