| NPI | 1215957741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHA F ANSARA President/Physician 407-333-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL 0075530) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2013-10-10 |