| NPI | 1013245174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUMUGAPRIYA G REDDY Managing Member 813-321-7411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME96110) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2009-12-01 |