NPI | 1265404354 |
---|---|
Entity Type | Organization |
Authorized Contact | PAVAN K ANAND Physician Owner 239-435-1999 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0071556) |
Enumeration Date | 2006-02-03 |
Last Update Date | 2010-12-15 |