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 |