| NPI | 1003144197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASAN SHAHAB Owner 407-420-7952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME98747) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2012-07-02 |