NPI | 1033476320 |
---|---|
Entity Type | Organization |
Authorized Contact | BELLA H DATTANI Physician/Owner 407-678-3255 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME107329) |
Enumeration Date | 2012-04-12 |
Last Update Date | 2016-01-11 |