| NPI | 1295260289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANAICKER RANGANATHAN Owner 407-260-8227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME41979) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |