| NPI | 1003903972 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | VAMSI KISHOR ALLADA Physician/Owner 727-572-0064  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS9503)  | 
| Enumeration Date | 2006-10-10 | 
| Last Update Date | 2008-03-18 |