| NPI | 1255392924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCELY RANI DEVABAVUS MD Doctor 352-666-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME78188) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2011-04-11 |