| NPI | 1215964598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SREELATHA TIRUPATHI Owner 727-344-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME83332) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP1918522) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2009-12-02 |