| NPI | 1174613459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURESH VEMULAMADA Manager 352-617-9649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: GA 50861) |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2024-07-25 |