| NPI | 1043466568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISHWARI PRASAD Owner 813-978-1769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME0058761) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2008-11-13 |