| NPI | 1134679293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE S MUTHALAKUZHY President/Provider 813-724-3868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME104902) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2019-07-02 |