| NPI | 1235432543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHESH GANDI ALLAM President 863-439-9775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2832442) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |