| NPI | 1114939410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIYYAGURA S REDDY Owner / Provider 727-863-2105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2008-08-20 |