| NPI | 1174918767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRIRAM SUNDARAMOORTHY Chief Compliance Officer 813-444-5838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2024-11-12 |