NPI | 1205163763 |
---|---|
Entity Type | Organization |
Authorized Contact | KALPESH HIMAT SOLANKI Owner 352-615-0459 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL OS9233) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9101724) |
363AS0400X Physician Assistant, Surgical (Licence: FL PA9101733) | |
Enumeration Date | 2009-11-04 |
Last Update Date | 2022-12-29 |