NPI | 1285024380 |
---|---|
Entity Type | Organization |
Authorized Contact | YAKUB AHMED POTHIAWALA Medical Doctor 813-960-4401 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL me0070225) |
Enumeration Date | 2015-01-27 |
Last Update Date | 2015-01-27 |