| NPI | 1174564553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN PHILIP NIMBARGI Owner 407-782-3702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME85807) |
| 174400000X Specialist (Licence: FL ME92618) | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2024-12-03 |