| NPI | 1144664442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANOOP KUMAR PALTA Manager/Owner 863-446-1583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME98082) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME96413) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-05-07 |