| NPI | 1255647491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOTESWARI KANCHA President 904-647-8207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME 98954) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2016-12-08 |