| NPI | 1184677551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UDAYABHASKER GANGAPURAM REDDY Owner/Partner 727-847-9505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-06-10 |