| NPI | 1225541428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRABHAKARA KUNAMNENI President 352-220-1291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2017-11-09 |