| NPI | 1265613509 |
|---|---|
| Former Legal Business Name | SRINIVAS P.SAMAK.MD.PA. |
| Entity Type | Organization |
| Authorized Contact | SRINIVAS P SAMAK President 863-688-3674 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 28681) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |