| NPI | 1215304613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEPA VERMA Physician/Owner 727-754-7936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME95465) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2020-04-23 |