| NPI | 1124839659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENKATESWARA SANKURATRI Practice Administrator 850-228-6323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-01-15 |