| NPI | 1043633795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRINIVAS RAO DONTINENI President 321-751-9506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME88036) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2014-01-31 |