| NPI | 1093788341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARMINDER K NANDRA Office Manager 407-921-2074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME85696) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2009-05-13 |