| NPI | 1003146523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAN KUTTY Medical Director 727-858-1652 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME100982) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |