| NPI | 1023305174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRIND DHARYSHEEL GUPTA Md/Owner 941-371-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 261QP3300X Clinic/Center, Pain | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2023-08-04 |