| 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 |