| NPI | 1275677254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL GHANI Owner 813-788-5524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: FL ME0026500) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2011-05-06 |