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 |