| NPI | 1083751580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONA VISHIN MANGAT President 727-327-5719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: FL ME88726) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2014-04-17 |