| NPI | 1114009651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRATIBHA KIRIT DESAI Owner 727-344-6569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME0066436) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME0093983) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2010-07-08 |