| NPI | 1215267497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUVARCHALA DEVI DARA Owner 407-480-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME105611) |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2021-11-01 |