| NPI | 1124300983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVI KOTI Owner 352-671-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME93537) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2018-10-19 |