| NPI | 1053510305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANOHAR G REDDY Physician/Owner 321-752-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0073885) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-08-28 |