| NPI | 1013286004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANMEJAY SHAKTAWAT Office Manager 352-633-8681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL me88930) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2023-03-24 |