| NPI | 1114912607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBASH K THAREJA President 321-951-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2016-08-02 |