| NPI | 1003912338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RATNASABAPATHY SIVASEKARAN Owner 352-369-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME90344) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2010-10-14 |