| NPI | 1215189592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONJEET KONDA REDDY Physician 352-895-0855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MD D0074525) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2013-01-10 |