| NPI | 1215206792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOZHIMALA T JOHN M.D./Owner 813-782-6116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME23148) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2018-08-22 |