| NPI | 1194346510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEIKH K JASIMUDDIN President 863-458-0579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-04-27 |