| NPI | 1033494547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BALA NANDIGAM President 941-625-6187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2011-10-15 |
| Last Update Date | 2011-10-15 |