| NPI | 1992565766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MOERSCHBACHER CFO 863-293-1191 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology |
| 208000000X Pediatrics | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |