| NPI | 1215968821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANJAPPA CHANDRAMOHAN Owner 352-315-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME84234) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2008-01-29 |