| NPI | 1205396611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROON R NAWAZ Owner 321-396-2877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| 208000000X Pediatrics | |
| 208D00000X General Practice | |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2019-03-21 |