| NPI | 1992995914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE NELSON UY President 352-222-4235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME71225) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |