| NPI | 1073828026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALUGAMAGE RANJIT FERNANDO President 239-936-1920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME30595) |
| Enumeration Date | 2010-08-15 |
| Last Update Date | 2010-08-20 |