| NPI | 1093011660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PUDICHERY K PAUL President 352-799-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0037402) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2011-01-31 |