| NPI | 1124058334 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SUNIL RAMESH PANDYA President 239-287-0798 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine | 
| Additional Taxonomies | 208000000X Pediatrics | 
| Enumeration Date | 2006-07-04 | 
| Last Update Date | 2008-04-02 |